Healthcare Provider Details

I. General information

NPI: 1891006300
Provider Name (Legal Business Name): ADITYA SAINI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 02/09/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 W 8TH ST
JACKSONVILLE FL
32209
US

IV. Provider business mailing address

PO BOX 44008
JACKSONVILLE FL
32231-4008
US

V. Phone/Fax

Practice location:
  • Phone: 904-383-1011
  • Fax: 904-244-3102
Mailing address:
  • Phone: 904-383-1011
  • Fax: 904-244-3102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME169304
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: